Dorris, Carmen Yolanda
Dorris, Carmen Yolanda is an individual health care provider with primary practice located at 126 E 2Nd St , Chillicothe OH 45601-2593. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Dorris, Carmen Yolanda can be contacted via phone (740) 773-8050.Contact Information
Primary practice address
126 E 2Nd St
Chillicothe OH 45601-2593
Phone: (740) 773-8050
Fax: (740) 773-1264
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 82786 | Ohio |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | E1253 | Ohio |
Profile Details
NPI number | 1871521500 |
---|---|
LBN Legal business name | Dorris, Carmen Yolanda |
Credentials | LPCC, LICDC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871521500 | NPPES |
Ohio | Other | 000000305809 | ANTHEM |
Ohio | Other | 63320000 | ANTHEM |
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